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PERMITTEE NAME/ADDRESS ilnrlude F•altifiq Aamdl ararion if jXfferenft <br />NAME LLC <br />ADDRESS i (= <br />BOX r. cc1 <br />LA CD @1424 <br />FACILITY HoR i Z ON MINE <br />LOCATION LA CO 81424 <br />LANCE WADE, MINE MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-OD04 <br />MINOR <br />(SUBR MH) <br />F - FINAL MNTRS <br />SR&MINE DRNG TRIO TO CALAMITY <br />1- <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY SAMPLE <br /> <br />>< <br />EX Of <br />TYPE <br /> ANALYSIS <br /> AVERAGE <br />- MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT r,1 RGF•i:T <br /> REQUIREMENT 301)A A%)%.-' IA I! Y M X <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT i'tPC1R l <br /> REQUIREMENT' ?0DA ^AVG D 1 N X <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ' i <br /> REQUIREMENT j Al'G D"'e i I_ Y =lX G <br />F <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENTI <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certif. under penalty of law that thi, document and dl attachment. were <br />r <br />md und <br />r <br />di <br />i <br />ith <br />ti <br />i <br />i <br />d <br />t <br />d <br />i <br />d <br />TELEPHONE <br />DATE <br /> p <br />edw <br />e <br />my <br />rec <br />on or,upen <br />s <br />m <br />n wcur <br />ance w <br />a s <br />em <br />es <br />gne <br /> to aswre that quadified personnel property gather and evaluate the information <br /> wbmdlted. Raced on my inquin rd the Perron or per ,% who manage the, y elem. f. <br />- <br /> or thou prawn, directly rrsp,mdble for galhcring the inrormation. the information <br /> ,uhmiued is, to the hest of my knowledge and belief. Into. accurate. and complete. <br />1 am aware that them are,ignificmt penallie, ror wbmittin <br />fade information SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED" g <br />. <br />including the fx"bilil%or rim and imprisonment fur knowing violation,. <br />OFFICER OR AUTHORIZED AGENT <br />AREA NUMBER <br />YEAR <br />MO <br />DAY <br />t..VMMr-N I,7 ANLI tRI'LAIVAI IVIq Vr Ana YIVLA l1Vp1.a Inference an anacnmenrs nere/ <br />EPA Form 3320.1 (Rev. 3199) Previous edttKm may be used. This iS a 4 jlaff ffrrm. PAGE OF